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Iowa rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,297.15 / $5,624.18 / $5,624.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,644.37 / $3,643.25 / $5,558.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $7,497.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,790.37 / $7,784.25 / $9,730.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,378.92 / $6,816.07 / $7,933.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,346.72 / $8,860.89 / $32,412.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,258.52 / $4,227.39 / $9,312.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,475.74 / $7,497.68 / $9,215.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,206.30 / $8,758.31 / $14,327.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,258.52 / $3,513.81 / $8,729.04
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,679.75 / $6,679.75 / $6,679.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,277.00 / $6,679.75 / $6,679.75